Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,086.10 / $1,086.10 / $1,086.10	Facility		$1,086.10	$1,086.10	$1,086.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $907.74 / $1,086.10 / $1,716.81	Professional		$907.74	$1,086.10	$1,716.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,878.09 / $2,444.82 / $3,056.02	Professional		$1,878.09	$2,444.82	$3,056.02
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,309.74 / $1,790.05 / $2,949.98	Facility		$1,309.74	$1,790.05	$2,949.98
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,010.00 / $2,245.03 / $10,050.27	Professional		$1,010.00	$2,245.03	$10,050.27
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,992.21 / $2,679.35 / $6,855.77	Facility		$1,992.21	$2,679.35	$6,855.77
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,651.14 / $2,209.88 / $2,932.82	Professional		$1,651.14	$2,209.88	$2,932.82
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,344.11 / $1,868.45 / $2,130.23	Professional		$1,344.11	$1,868.45	$2,130.23
United Facility/Professional Facility Modifier Low / Median / High Price $4,500.00 / $4,500.00 / $4,500.00	Facility		$4,500.00	$4,500.00	$4,500.00
United Facility/Professional Professional Modifier Low / Median / High Price $984.09 / $1,792.31 / $3,073.11	Professional		$984.09	$1,792.31	$3,073.11
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,113.30 / $2,585.69 / $2,585.69	Professional		$2,113.30	$2,585.69	$2,585.69